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Background: Treatment of the "Incurable Patient" is a challenge for all clinicians working in the eating disorder field. This session will focus on the integration of neuroscience from the lab bench--translated to the bedside with an international treatment model that draws on neurobiology, trauma and addiction-nutrition therapy.
Curing the Incurable
Rachel Santini, Kildehoj Private Hospital, Denmark, Kevin Wandler, MD, University of Florida
Clinical experience of integrating “new” therapies into the standard treatment of ED-patients has given us a new dimension in understanding the many factors that come into play and must be considered when treating any eating disorder.
- Overview of the biology of “food addiction”
- Homeostatic/ Hedonic
- Ghrelin/ Leptin
- Other research
- Emerging Trends—“diabulimia, drunkorexia, orthorexia, pregorexia”
- Current Findings in Obesity and Binge Eating Disorder and Bulimia Nervosa
- Level System for treatment of Bulimia Nervosa in Denmark
- Case presentations of the “incurables”
- Therapeutic interventions for the “incurable”
- CBT
- Stages of Change
- Therapeutic Environment Theory
- Mindfulness
- Empowerment
- Parental/ Guided Coaching vs. Motivational Interviewing
- Addiction-Nutrition Therapy
- AAT
- SE therapy
- Summary
- Questions
Curing The Incurable
Abstract:
Clinical experience of integrating “new” therapies into the standard treatment of Eating Disorder patients has given us a new dimension in understanding the many factors that come into play and must be considered when treating any eating disorder.
A cross-disciplinary and multi-disciplinary approach takes into consideration psychological and neurobiochemical aspects and how they interact. This is crucial for the patient to survive in a cultural environment that is promoting insecurity through alienation and addictive behaviors. This approach should produce better treatment outcomes.
Willpower is a myth that only works once you have rewired your brain and body through psychological and neurobiochemical treatments. Breaking the habit of an eating disorder is about understanding how to match the right therapy that resonates on a biochemical and psychological level with the patient. This empowers them and encourages motivation from within.
The session will focus on how to integrate and combine new therapies into the standard treatment for patients suffering from Bulimia Nervosa . Including but not limited to: addiction therapy, animal assisted therapy, and somatic experience therapy into the standard treatment of patients suffering from Bulimia Nervosa. We will be drawing on client cases, most of which have been diagnosed as chronic, “not motivated” and "Incurable" by the public health care system.
The session will show how it is possible to make new pathways into the patient’s brain and body. This will encourage a reward-driven change of behavior and thereby making the treatment-outcome higher.
Rachel Santini is Managing Director of Kildehoj Hospital and founder of The Eating Disorder Program at Kildehoj Hospital. Rachel Santini has over 25 years of experience in treating eating disorders and co-occuring disorders. She has lectured nationally and internationally on eating disorders, and has provided training and supervision for healthcare professionals regarding eating disorders and addiction. Rachel Santini holds a cross-disciplinary Masters’ degree in Psychology, Anthropology and Sociology; specialized in Medical Sociology from Copenhagen University in Denmark. Also she received a bachelor in Nutrition and is psychotherapist and mediator.
Kevin Wandler, M.D. specializes in the treatment of adults and adolescents with eating disorders and co-occurring conditions. He currently is an Associate Professor in Psychiatry at the University of Florida. Dr Wandler has worked in the eating disorder field for over 17 years. Dr Wandler is Board Certified in Psychiatry; has added qualification from the American Board of Psychiatry and Neurology in Addiction Medicine; has certification from the American Society of Addiction Medicine and is CEDS certified. Dr. Wandler presents frequently at national eating disorder and chemical dependency conferences.
